DoctorTro Profile picture
Sep 26, 2020 12 tweets 4 min read Read on X
🚨 THREAD ON COVID (it’s going to get ugly) 🚨

•no politics 🙏
•no crazies 🙏

Today I watched segments of an interview with a prominent immunologist (name rhymes with ouchy)

This scientist said he doesn’t believe in T-cell immunity for the novel coronavirus

1/11
Now, I’m certainly no expert in immunology but I decided to educate myself

I started here and here

bmj.com/content/370/bm…

nature.com/articles/s4158…

I also read these key citations below on T cell immunity

2/11 Image
How can a prominent immunologist not consider this early body of research? So I thought about potential roadblocks to accepting new data... a process called anchoring bias

This is a bias that’s created when you commit to an outcome & don’t assimilate new info as it arises

3/11
initially I was accepting of lockdown but as evidence presented itself I changed my tune... specifically I started to change my tune after no uptick in NYC after 2 weeks of Floyd protests

4/11 Image
I became even more questioning after we understood what exactly happened with the fraud regarding surgisphere which lead to several retractions from major journals and the errors in dosage admitted by principal investigator regarding the recovery trial dosage of HCQ...

5/11 Image
I became even more questioning then even moreso after successive data on immunity that I recently reviewed.

5/11
after all of this I really started to question the public health messaging. We all thought Sweden was crazy initially... but we have to admit now when Denmark, Norway, Finland and all of Europe is having cases go up while Sweden is flat ... maybe they got it right

🤔

6/11 ImageImageImageImage
it's okay to be wrong and change - I admit I was wrong. Initially I was scared and supported lockdown and have now changed tune - but many things prevent accepting new data and being wrong - namely ANCHORING BIAS

7/11
Another issue that’s keeping people from accepting new data besides anchoring bias is hyperbole.

People may hear me say I’m against lockdowns, but they believe it means something else
8/11
I support protected our immune-compromised, elderly

Anyone should be able to wear a mask in close proximity indoor environments

Anyone should take common sense precautions of distancing in indoor environments

We should have access to PPE for healthcare workers

9/11
The main issue for me is that I now believe that lockdowns were likely not helpful and I admit I was wrong before... I pray that I’m not wrong again but so far this is where my re-evaluation has brought me

10/11
While for me it may be easy to admit I was wrong

It may be much harder for politicians during an election year

11/end

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More from @DoctorTro

Sep 17
After helping thousands of patients lose weight, here’s my advice for those looking for lifelong, sustainable life changes. These are the “5 MUSTS” anyone trying to lose weight lifelong NEEDS to do.

🧵/Thread
Before you understand my “5 musts”, simply ask yourself -what are the side effects of your prior weight loss attempts- NOT your reasons, NOT what you want to happen, what went wrong, what made you stop?
The 5 Musts: #1 HUNGER
Most people quit diets because they feel low energy, tired & hungry. Your weight loss attempt will need to manage HUNGER. Are food choices making you full, or are they leaving you craving more a couple of hours later? Stick to:: 🐠🥩🍳🍗🍖🍤🫑🥑🥬🥦
Read 10 tweets
Aug 20
🚨THREAD

Why calories NEVER mattered...

Summary:
Poorly calculated
Don’t quantify hormonal effects on appetite
Labels/Tracking don’t effect intake
Worse outcomes vs. dieting

Follow along with this fully cited thread 1/n
We have known as far back as 1982 that tracking calories, food logging is inaccurate & doesn’t predict weight loss

10.1093/ajcn/35.4.727 Image
Meta-analysis in 2008 by Harnack and French, then follow-up in 2014 from Eblel, Kiszko reviews and assesses the evidence on the effectiveness of calorie labeling at the point of purchase

"Concerns on the effectiveness of calorie labeling policies"

10.1007/s10900-014-9876-0

3/n Image
Read 13 tweets
Aug 6
I have a serious problem with the term “pre-diabetes.”

The prefix “pre” is used to describe what comes before something.

In reality, “pre”-diabetes is actually AFTER or “post” 15 years of the high insulin levels & inflammation associated with the modern lifestyle.
Prediabetes is usually diagnosed by checking an a1c level, which is the percentage of hemoglobin that binds to sugar as a percentage of normal hemoglobin.

If you a1c is between 5.7 and 6.4, you are considered to have “pre-diabetes”
To achieve this level of pre-diabetes, you must sustain enough carbohydrate/glycemic excursions & weight gain where your average glucose rises sufficiently above normal levels.

The a1c describes your speed, your are past your speed limit.
Read 12 tweets
Jul 23
There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!
We are going to start with some easy ones…

The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.

These signals are deeply ingrained and can be conditioned

Think of Pavlov & commercials - these aren’t going away quickly or ever
Second up is appetite triggered by Social cues to eat

our social lives, whether they are business meetings, family dinners or birthdays

Unless you are going monk mode - this cue to eat is also not going away & requires attention to manage
Read 21 tweets
Jul 16
How statisticians and researchers arrived at the conclusion that the BlueZones are a FRAUD. 🤔

🔑 Thread with key excerpts

1/n
“When these states transition to state-wide birth registration, the number of supercentenarians falls by 80% per year“

2/n
“The US data support the hypothesis that improved vital registration should reduce the number of supercentenarians, and be associated with changing patterns of old-age survival, by reducing age-coding error rates.”

3/n
Read 13 tweets
Jul 9
🚨 Thread on LDL Lowering & low carb🚨

How I approached high LDL in my patients, and how we observed a DECREASE in LDL of 480mg/dl !!!!

About my published case-series of 5 patients and clinical experience with thousands of patients …

(1/20)
As data supporting low carb diets has proliferated for weight loss, diabetes, seizures, mental health and other conditions, patients are now presenting with various issues related to the diet

2/20
For example, while it’s true that consistently a1c, triglycerides, HDL and lpa seem to improve, some patients report some adverse events.

3/20 Image
Read 21 tweets

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